Individual
AMBER ELIZABETH HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N4600 CATBIRD RD, BEAVER DAM, WI 53916-9671
(920) 296-1029
Mailing address
N4600 CATBIRD RD, BEAVER DAM, WI 53916-9671
(920) 296-1029
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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